Department of Community Medicine, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria.
Department of Community Medicine, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria.
Hum Resour Health. 2022 Oct 27;20(1):76. doi: 10.1186/s12960-022-00772-7.
Emigration of Nigerian doctors, including those undergoing training, to the developed countries in Europe and Americas has reached an alarming rate.
This study aimed at assessing the prevalence, pattern, and determinants of migration intention among doctors undergoing residency and internship training programmes in the public tertiary hospitals in Ekiti state, Nigeria.
This was a cross-sectional study using a quantitative data collected from 182 doctors undergoing residency and internship training at the two tertiary hospitals. An adapted semi-structured questionnaire was used to collect information on migration intention among the eligible respondents. Univariate, bivariate and multivariate data analyses were done. The level of significance was determined at p-value < 0.05.
Majority (53.9%) of doctors undergoing training were between 30-39 years, and the mean age was 33.2 ± 5.7 years, male respondents were 68.1%, and 53.8% of the respondents were married. The proportion of doctors undergoing training who had the intention to migrate abroad to practice was 74.2%. A higher proportion of the internship trainees, 79.5%, intended to migrate abroad to practice while the proportion among the resident doctors, was 70.6%. Among the respondents who intended to migrate abroad to practice, 85(63%) intend to migrate abroad within the next 2 years, while the preferred countries of destination were the United Kingdom 65(48.2%), Canada 29 (21.5%), Australia 20 (14.8%) and the United States 18(13.3%). Seventy percent of respondents who intend to migrate abroad had started working on implementation of their intention to migrate abroad. The majority of the junior resident doctors, 56(72.7%), intend to migrate abroad compared with the senior resident doctors, 21(27.3%), (χ = 14.039; p < 0.001). The determinants of migration intention are the stage of residency training and level of job satisfaction.
There is a high prevalence of migration intention among the doctors undergoing training in the public tertiary hospitals in Ekiti State, Nigeria, with the majority already working on their plans to migrate abroad. Doctors undergoing training who are satisfied with their job and those who are in the senior stage of residency training programme are less inclined to migrate abroad.
The hospital management in the tertiary hospitals should develop retention strategies for human resources for health, especially doctors undergoing training in their establishment, to avert the possible problems of dearth of specialists in the tertiary health facilities. Also, necessary support should be provided for the residency training programme in the tertiary health institutions to make transition from junior to senior residency stage less strenuous.
尼日利亚医生的移民现象，包括正在接受培训的医生，已经达到了令人担忧的程度，他们移民到欧洲和美洲的发达国家。
本研究旨在评估尼日利亚埃基提州公立 tertiary 医院接受住院医师和实习医师培训的医生的移民意向的流行率、模式和决定因素。
这是一项横断面研究，使用定量数据，从 182 名在两家 tertiary 医院接受住院医师和实习医师培训的医生中收集。使用经过改编的半结构式问卷收集符合条件的受访者的移民意向信息。进行了单变量、双变量和多变量数据分析。显著性水平确定为 p 值 < 0.05。
大多数（53.9%）接受培训的医生年龄在 30-39 岁之间，平均年龄为 33.2 ± 5.7 岁，男性受访者占 68.1%，53.8%的受访者已婚。有出国行医意向的培训医生比例为 74.2%。实习医生中，打算出国行医的比例更高，为 79.5%，而住院医生中这一比例为 70.6%。在打算出国行医的受访者中，有 85 人（63%）打算在未来 2 年内出国，而首选的目的地国家是英国 65 人（48.2%）、加拿大 29 人（21.5%）、澳大利亚 20 人（14.8%）和美国 18 人（13.3%）。打算出国行医的 70%的受访者已经开始实施出国计划。与高级住院医生相比，大多数初级住院医生（72.7%）打算出国，（χ = 14.039；p < 0.001）。移民意向的决定因素是住院医师培训阶段和工作满意度水平。
在埃基提州公立 tertiary 医院接受培训的医生中，移民意向的发生率很高，大多数医生已经在计划出国。对工作满意且处于住院医师培训项目高级阶段的培训医生不太倾向于出国移民。
tertiary 医院的医院管理层应为其建立留住人力资源的策略，特别是针对在其机构中接受培训的医生，以避免 tertiary 卫生设施中专科医生短缺的可能问题。此外，还应为 tertiary 医疗机构的住院医师培训计划提供必要的支持，以减轻从初级到高级住院医师阶段的过渡难度。
